Skip to main content

Surgical Brain Injury and Edema Prevention

  • Conference paper
  • First Online:
Brain Edema XV

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 118))

Abstract

Neurosurgical procedures, carried out routinely in health institutions, present postoperative complications that result from unavoidable brain injury inflicted by surgical maneuvers. These maneuvers, which include incisions, electrocauterization, and retraction, place brain tissue at the margins of the operative site at risk of injury. Brain edema is a major complication that develops subsequent to this surgically induced brain injury. In the present review, we will discuss type of injury as well as the animal model available to study it. In addition, we will discuss potential mediators, including vascular endothelial growth factor, metalloproteinases, and cyclooxygenases, which have been tested in in vivo experimental studies and have been shown to be potential targets for the development of clinical therapies for neuroprotection against brain edema.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Asahi M, Wang X, Mori T, Sumii T, Jung JC, Moskowitz MA, Fini ME, Lo EH (2001) Effects of matrix metalloproteinase-9 gene knock-out on the proteolysis of blood-brain barrier and white matter components after cerebral ischemia. J Neurosci 21:7724–7732

    PubMed  CAS  Google Scholar 

  2. Bravo TP, Matchett GA, Jadhav V, Martin RD, Jourdain A, Colohan A, Zhang JH, Tang J (2008) Role of histamine in brain protection in surgical brain injury in mice. Brain Res 1205:100–107

    Article  PubMed  CAS  Google Scholar 

  3. Bruder N, Ravussin P (1999) Recovery from anesthesia and postoperative extubation of neurosurgical patients: a review. J Neurosurg Anesthesiol 11:282–293

    Article  PubMed  CAS  Google Scholar 

  4. Cheng O, Ostrowski RP, Wu B, Liu W, Chen C, Zhang JH (2011) Cyclooxygenase-2 mediates hyperbaric oxygen preconditioning in the rat model of transient global cerebral ischemia. Stroke 42:484–490

    Article  PubMed  CAS  Google Scholar 

  5. Chodobski A, Chung I, Kozniewska E, Ivanenko T, Chang W, Harrington JF, Duncan JA, Szymdynger-Chodobska J (2003) Early neutrophilic expression of vascular endothelial growth factor after traumatic brain injury. Neuroscience 122:853–867

    Article  PubMed  CAS  Google Scholar 

  6. Chu K, Jeong SW, Jung KH, Han SY, Lee ST, Kim M, Roh JK (2004) Celecoxib induces functional recovery after intracerebral hemorrhage with reduction of brain edema and perihematomal cell death. J Cereb Blood Flow Metab 24:926–933

    Article  PubMed  CAS  Google Scholar 

  7. Di F, Yan-Ting G, Hui L, Tao T, Zai-Hua X, Xue-Ying S, Hong-Li X, Yun-Jie W (2008) Role of aminoguanidine in brain protection in surgical brain injury in rat. Neurosci Lett 448:204–207

    Article  PubMed  Google Scholar 

  8. Ding JY, Kreipke CW, Schafer P, Schafer S, Speirs SL, Rafols JA (2009) Synapse loss regulated by matrix metalloproteinases in traumatic brain injury is associated with hypoxia inducible factor-1 alpha expression. Brain Res 1268:125–134

    Article  PubMed  CAS  Google Scholar 

  9. Donkin JJ, Vink R (2010) Mechanisms of cerebral edema in traumatic brain injury: therapeutic developments. Curr Opin Neurol 23:293–299

    Article  PubMed  CAS  Google Scholar 

  10. Fathali N, Ostrowski RP, Lekic T, Jadhav V, Tong W, Tang J, Zhang JH (2010) Cyclooxygenase-2 inhibition provides lasting protection against neonatal hypoxic-ischemic brain injury. Crit Care Med 38:572–578

    Article  PubMed  CAS  Google Scholar 

  11. Graham SH, Hickey RW (2003) Cyclooxygenases in central ­nervous system diseases: a special role for cyclooxygenase 2 in neuronal cell death. Arch Neurol 60:628–630

    Article  PubMed  Google Scholar 

  12. Hao W, Wu X, Xu R (2009) The molecular mechanism of aminoguanidine-mediated reduction on the brain edema after surgical brain injury in rats. Brain Res 1282:156–161

    Article  PubMed  CAS  Google Scholar 

  13. Hyong A, Jadhav V, Lee S, Tong W, Rowe J, Zhang JH, Tang J (2008) Rosiglitazone, a PPAR gamma agonist, attenuates inflammation after surgical brain injury in rodents. Brain Res 1215:218–224

    Article  PubMed  CAS  Google Scholar 

  14. Jadhav V, Zhang JH (2007) Surgical brain injury: prevention is ­better than cure. Front Biosci 13:3793–3797

    Google Scholar 

  15. Jadhav V, Matchett G, Hsu FPK, Zhang JH (2007) Inhibition of Src tyrosine kinase and effect on outcomes in a new in vivo model of surgically induced brain injury. J Neurosurg 106:680–686

    Article  PubMed  CAS  Google Scholar 

  16. Jadhav V, Solaroglu I, Obenaus A, Zhang JH (2007) Neuroprotection against surgically induced brain injury. Surg Neurol 67:15–20

    Article  PubMed  Google Scholar 

  17. Jadhav V, Ostrowski RP, Tong W, Matus B, Jesunathadas R, Zhang JH (2009) Cyclo-oxygenase-2 mediates hyperbaric oxygen preconditioning-induced neuroprotection in the mouse model of surgical brain injury. Stroke 40:3139–3142

    Article  PubMed  CAS  Google Scholar 

  18. Kim E, Raval AP, Defazio RA, Perez-Pinzon MA (2007) Ischemic preconditioning via epsilon protein kinase C activation requires cyclooxygenase-2 activation in vitro. Neuroscience 145:931–941

    Article  PubMed  CAS  Google Scholar 

  19. Kusaka G, Ishikawa M, Nanda A, Granger DN, Zhang JH (2004) Signaling pathways for early brain injury after subarachnoid hemorrhage. J Cereb Blood Flow Metab 24:916–925

    Article  PubMed  CAS  Google Scholar 

  20. Lee S, Jadhav V, Ayer R, Rojas H, Hyong A, Lekic T, Stier G, Martin R, Zhang JH (2008) The antioxidant effects of melatonin in surgical brain injury in rats. Acta Neurochir Suppl 102:367–371

    Article  PubMed  Google Scholar 

  21. Lee S, Jadhav V, Lekic T, Hyong A, Allard M, Stier G, Martin R, Zhang J (2008) Simvastatin treatment in surgically induced brain injury in rats. Acta Neurochir Suppl 102:401–404

    Article  PubMed  Google Scholar 

  22. Lo W, Bravo T, Jadhav V, Titova E, Zhang JH, Tang H (2007) NADPH oxidase inhibition improves neurological outcomes in surgically-induced brain injury. Neurosci Lett 414:228–232

    Article  PubMed  CAS  Google Scholar 

  23. Matchett G, Hahn J, Obeanus A, Zhang JH (2006) Surgically induced brain injury in rats: the effect of erythropoietin. J Neurosci Methods 158:234–241

    Article  PubMed  CAS  Google Scholar 

  24. Merrill MJ, Oldfield EH (2005) A reassessment of vascular endothelial growth factor in central nervous system pathology. J Neurosurg 103:853–868

    Article  PubMed  CAS  Google Scholar 

  25. Nag S, Manias JL, Stewart DJ (2009) Pathology and new players in the pathogenesis of brain edema. Acta Neuropathol 118:197–217

    Article  PubMed  Google Scholar 

  26. Ostrowski RP, Colohan AR, Zhang JH (2006) Molecular mechanisms of early brain injury after subarachnoid hemorrhage. Neurol Res 4:399–414

    Article  Google Scholar 

  27. Ostrowski RP, Colohan ART, Zhang JH (2005) Mechanisms of hyperbaric oxygen-induced neuroprotection in a rat model of subarachnoid hemorrhage. J Cereb Blood Flow Metab 25:554–571

    Article  PubMed  CAS  Google Scholar 

  28. Petty MA, Lo EH (2002) Junctional complexes of the blood–brain barrier: permeability changes in neuroinflammation. Prog Neurobiol 68:311–323

    Article  PubMed  CAS  Google Scholar 

  29. Proescholdt MA, Heiss JD, Walbridge S, Muhlhauser J, Capogrossi MC, Oldfield EH, Merrill MJ (1999) Vascular endothelial growth factor (VEGF) modulates vascular permeability and inflammation in rat brain. J Neuropathol Exp Neurol 58:613–627

    Article  PubMed  CAS  Google Scholar 

  30. Rosenberg GA, Yang Y (2007) Vasogenic edema due to tight junction disruption by matrix metalloproteinases in cerebral ischemia. Neurosurg Focus 22(5):E4

    Article  PubMed  Google Scholar 

  31. Sehba FA, Mostafa G, Knopman J, Friedrich V Jr, Bederson JB (2004) Acute alterations in microvascular basal lamina after subarachnoid hemorrhage. J Neurosurg 101:633–640

    Article  PubMed  Google Scholar 

  32. Wang X, Jung J, Asahi M, Chwang W, Russo L, Moskowitz MA, Dixon CE, Fini ME, Lo EH (2000) Effects of matrix metalloproteinase-9 gene knock-out on morphological and motor outcomes after traumatic brain injury. J Neurosci 20:7037–7042

    PubMed  CAS  Google Scholar 

  33. Wu H, Zhang Z, Zhao R, Li H, Song Y, Qi J, Wang J (2010) Time course of upregulation of inflammatory mediators in the hemorrhagic brain in rats: correlation with brain edema. Neurochem Int 57:248–253

    Article  PubMed  CAS  Google Scholar 

  34. Yamaguchi M, Jadhav V, Obeanus A, Colohan A, Zhang JH (2007) Matrix metalloproteinase inhibition attenuates brain edema in an in vivo model of surgically-induced brain injury. Neurosurgery 61:1067–1076

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John H. Zhang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Wien

About this paper

Cite this paper

Sherchan, P., Kim, C.H., Zhang, J.H. (2013). Surgical Brain Injury and Edema Prevention. In: Katayama, Y., Maeda, T., Kuroiwa, T. (eds) Brain Edema XV. Acta Neurochirurgica Supplement, vol 118. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1434-6_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1434-6_23

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1433-9

  • Online ISBN: 978-3-7091-1434-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics